Form Center

2. Thank you for staying informed on the River Fire recovery process from Nevada County Office of Emergency Services, Community Development Agency and Health and Human Services Agency by filling out your contact information below. By filling out this form, you are opting-in to email notifications and River Fire Recovery information from Nevada County.
4. First Name*
5. Last Name*
7. Email Address*
9. Address*
10. City*
12. Phone Number*
13. Alternate Phone Number
15. Are you a homeowner or a renter?*

    1. Homeowner
    2. Renter
16. Do you have homeowner or renters insurance?*

    1. Yes, I have homeowners insurance.
    2. Yes, I have renters insurance.
    3. No, I do not have insurance.
18. Did you have any structural losses on your property due to the River Fire?

    1. Yes
    2. No
20. More information about your insurance coverage:
Leave This Blank:


22. Submit

* indicates a required field